It is estimated that around 75% of clients at residential rehabilitation programs for drug addiction and alcoholism are smokers. While it is true that nicotine is addicting and clients in rehab for addiction should strive to be free from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the advantages of such restrictions. A person who is addicted to a substance as life threatening as drugs and alcohol might not get help if they must quit smoking cigarettes, so many programs in Gans allow smoking with some restrictions, limitations and in designated areas.
Some programs allow clients to smoke anywhere, provides it is outdoors for example. Some programs have a designated smoking area, and this is the only place that clients are allowed to smoke in. Due to the fact that nicotine is addictive, even treatment centers that have a designated area and allow smoking commonly introduce alternatives to smoking if the client would like to consider this as an option, such as nicotine patches, nicotine gum and prescriptions. There are also rehab centers that allow smoking in designated areas, but educate clients on the health risks associated with smoking by including this into their program either by way of direct one on one counseling or by offering educational literature for clients to consider. In facilities which allow smoking in designated areas this is sometimes only allowed for clients, and staff are often banned from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded drug and alcohol rehab centers are obligated by the rules and restrictions in regards to smoking that are enforced by state and federal agencies which oversee and administer these programs. Private rehab centers have a little more leeway and don't have as many rules imposed on them, so may be more likely to offer designated areas for smoking.
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